HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 22-MAY-2018 Permit Number. D O
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Building Permit Application MAY 2 2 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
Residentiat
PERMIT APPLICATION FOR: Foundation —
PROPOSED- 1MPROVE(VIENT LOCATION t
Address: 5661 Spanish River Road, Fort Pierce, FL 34951
Legal Description: PORTOFINO SHORES-PHASE THREE-(PB 43-40)LOT 232 (OR 2663-213)
5661 Spanish River Road, Fort Pierce, FL
Property Tax ID#: - S_V��117J - 003 _V v l/ ® Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: aK Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
12 inches deep x 12 inches wbide concrete footing. Footo be 16�x 22,x 16'.
1,-Sao X52 �^- e e 1 r ��� 02 e b�
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CONSTRUCTION INFORMATION
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Additional work to be nertormed under this permit-check all appy:
HVAC Gas Tanking Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 352 SFt. of First Floor:
Cost of Construction:$ 2000 Utilities: Sewer Septic Building Height:
OWNER/LESSEE ; ; ,CONTRACTOR::
Name Richard Caraballo Name: Owner
Address:5661 Spanish River Road Company: N/A
City: Fort Pierce State:FL Address:
Zip Code: 34951 Fax: City: State:
Phone No.404-662-1800 Zip Code: Fax:
E-Mail:richard.caraballo@gmail.com Phone No.
Fill in fee simple Title Holder on next page (if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPRLEMENTALCONS.TRUCTION LIEN LAW INFORMATION..
DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: _Not Applicable
N a m e:Richard Carabaiio Name:owner
Add cess:5661 Spanish River Road,Fort Pierce,FL 34951 Address: 5661 Spanish River Road
City: Fort Pierce State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER;Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature f!wner/ ssee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 2n�,4 COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,) day of n,«„ .20 %a by this day of 20_ by
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Name of person making statement Name,of person making statement
Personally Known OR Produced Identification `c Personally Known OR Produced Identification
Type of Identification Type of Identification
Pro 3Q ko. rP Produced
3 •30• �oa.3
(Sign ure ic- a e o Flor da ) (Signature of Notary Public-State of Florida )
Commission No C-z Qt( P"� RE@EWOEELACHANCE Commission No. (Seal)
z Notary Public-State of Florida
• v: Commission#GG 082461
'•'.°oFF�gQ '' My Comm.Expires Mar 13,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17